Medicare billing address
CMS Medicare provider billing file
5433 State Route 113Bellevue, OH 44811
CMS public data · NPI 1245202050
CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.
CMS display name
Nicole J Danner, D.O.
Specialty
Credential
D.O.
NPI
1245202050
Primary source state
OH
Data retrieval date
July 27, 2026
Where these numbers come from, and what they cannot tell you
Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.
This page shows Medicare billing and Part D prescribing data for Nicole J Danner, D.O. from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.
A licensed agent, not a call center
Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.
Medicare participating
Yes
Individual assignment
Yes
Group assignment
Yes
CMS opt-out records
0
When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.
CMS Medicare provider billing file
5433 State Route 113CMS Doctors & Clinicians file
1111 Hayes AveIn the 2024 CMS provider billing file, this NPI had 685 Medicare beneficiaries and 28,876 total services. The average beneficiary age was 73, and the average HCC risk score was 1.5.
Total Medicare allowed amount
$369,927.55
Total Medicare payment amount
$281,009.46
Medicare beneficiaries
685
Total services
28,876
These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.
Hyperlipidemia
75%
CMS beneficiary-panel share
Hypertension
75%
CMS beneficiary-panel share
Diabetes
33%
CMS beneficiary-panel share
Mood disorders
33%
CMS beneficiary-panel share
Anxiety
32%
CMS beneficiary-panel share
Depression
29%
CMS beneficiary-panel share
Where these service numbers come from, and what they cannot tell you
Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.
| CMS service description | Services | Avg allowed |
|---|---|---|
| Injection, onabotulinumtoxina, 1 unit | 26,200 | $6.26 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 510 | $126.86 |
| Needle measurement of electrical activity in arm or leg muscles, complete study | 213 | $93.43 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 129 | $88.81 |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 113 | $166.06 |
| Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 57 | $73.51 |
| Nerve conduction, 9-10 studies | 56 | $205.98 |
| Nerve conduction, 11-12 studies | 42 | $242.56 |
| Injection of chemical for paralysis of nerve muscles on side of face | 38 | $138.39 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 36 | $118.99 |
Where these Part D numbers come from, and what they cannot tell you
CMS data reports historical prescription drug events attributed to NPI 1245202050. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.
| Rank | Drug | Generic name | Total claims | 30-day fills | Total drug cost |
|---|---|---|---|---|---|
| 1 | Gabapentin | Gabapentin | 299 | 421.1 | $3,932.06 |
| 2 | Tizanidine Hcl | Tizanidine Hcl | 179 | 266.3 | $1,427.72 |
| 3 | Levetiracetam | Levetiracetam | 161 | 286 | $4,628.11 |
| 4 | Donepezil Hcl | Donepezil Hcl | 133 | 218 | $1,234.11 |
| 5 | Oxcarbazepine | Oxcarbazepine | 98 | 124.5 | $7,222.35 |
| 6 | Amitriptyline Hcl | Amitriptyline Hcl | 86 | 129 | $1,552.19 |
| 7 | Topiramate | Topiramate | 82 | 143.8 | $1,192.17 |
| 8 | Primidone | Primidone | 80 | 163.3 | $1,738.11 |
| 9 | Divalproex Sodium Er | Divalproex Sodium | 76 | 110 | $3,722.24 |
| 10 | Memantine Hcl | Memantine Hcl | 70 | 104.7 | $1,165.68 |
CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.
Medical school
Ohio University, College Of Osteopathic Medicine
Graduation year
2001
Group/practice field
North Coast Professional Company, Llc
Telehealth reported
Not reported
Secondary specialty fields reported by CMS: Osteopathic Manipulative Medicine.
Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.
The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.